Regional Manager of Provider Billing - Primary Care

UR Medicine Thompson Health • Canandaigua, NY

6d • $75,000 - $90,000

About The Position

Schedule: Full time, days Job Duties: Responsible for overall management and supervision of Professional billing in the following areas: Primary Care Internal Med Family Med OB/GYN and Women’s Health Rural Health Center Pediatrics Develop and execute billing strategies aligned with organizational goals and payer requirements. Coach, mentor, and build high‐performing teams across multiple locations. Promote a culture of collaboration, accountability, and professional growth. Ensure timely and accurate claim submission, denial management, and follow‐up activities. Standardize workflows and best practices across service lines (Primary Care, Internal Med, Pediatrics, Rural Health, OB/GYN). Monitor key performance indicators (e.g., days in Accounts Receivable, denial rates) and drive corrective action. Maintain adherence to federal/state regulations, payer contracts, and internal policies. Partner with Compliance on internal audits and oversight of external reviews. Implement process improvements to reduce rework, minimize denials, and ensure coding accuracy. Serve as primary liaison between billing team, Practice Management, IT, and finance departments. Partner with EHR analysts to optimize system configurations for billing efficiency. Communicate regularly with health‐system executives on revenue‐cycle trends and risks. Produce monthly reports and detailed operational reports. Use data analytics to identify root causes of denials, underpayments, and delays. Recommend technology enhancements or staffing adjustments based on performance insights. Oversee hiring, onboarding, performance reviews, and professional development plans. Allocate resources effectively to manage peak billing cycles or special projects. Foster ongoing training on coding updates, payer policies, and system changes. Daily supervision of 10-15 associates. Qualifications: Proficiency with billing systems (EPIC preferred) and data‐analysis tools (Excel, BI platforms) Deep understanding of CPT/ICD‐10 coding, claim adjudication, payer rules, and HIPAA regulations Strong analytical mindset, with proven track record of process improvement and KPI management Excellent communication skills—able to influence at all organizational levels and build collaborative partnerships Education and Experience: Bachelors Degree in Healthcare Administration, Finance, Business or related field preferred or 8 years work related experience in health care billing required (physician billing preferred). 7+ years of progressive revenue‐cycle experience, with at least 3 years in a leadership role Experience with EPIC is preferred Familiarity with all form’s payer claims by paper and electronic media is preferred. Excellent public/patient relations and communication skills. Skills in using computers including Excel and Work required. Skills in using mainframe preferred. Pay Range: $75,000 - $90,000 Starting Pay: Based on experience Thom pson Health is an EOE encouraging individuals with disabilities and veterans to apply

Requirements

• Proficiency with billing systems (EPIC preferred) and data‐analysis tools (Excel, BI platforms)
• Deep understanding of CPT/ICD‐10 coding, claim adjudication, payer rules, and HIPAA regulations
• Strong analytical mindset, with proven track record of process improvement and KPI management
• Excellent communication skills—able to influence at all organizational levels and build collaborative partnerships
• Bachelors Degree in Healthcare Administration, Finance, Business or related field preferred or 8 years work related experience in health care billing required (physician billing preferred).
• 7+ years of progressive revenue‐cycle experience, with at least 3 years in a leadership role
• Skills in using computers including Excel and Work required.

Nice To Haves

• Experience with EPIC is preferred
• Familiarity with all form’s payer claims by paper and electronic media is preferred.
• Excellent public/patient relations and communication skills.
• Skills in using mainframe preferred.

Responsibilities

• Responsible for overall management and supervision of Professional billing in the following areas: Primary Care Internal Med Family Med OB/GYN and Women’s Health Rural Health Center Pediatrics
• Develop and execute billing strategies aligned with organizational goals and payer requirements.
• Coach, mentor, and build high‐performing teams across multiple locations.
• Promote a culture of collaboration, accountability, and professional growth.
• Ensure timely and accurate claim submission, denial management, and follow‐up activities.
• Standardize workflows and best practices across service lines (Primary Care, Internal Med, Pediatrics, Rural Health, OB/GYN).
• Monitor key performance indicators (e.g., days in Accounts Receivable, denial rates) and drive corrective action.
• Maintain adherence to federal/state regulations, payer contracts, and internal policies.
• Partner with Compliance on internal audits and oversight of external reviews.
• Implement process improvements to reduce rework, minimize denials, and ensure coding accuracy.
• Serve as primary liaison between billing team, Practice Management, IT, and finance departments.
• Partner with EHR analysts to optimize system configurations for billing efficiency.
• Communicate regularly with health‐system executives on revenue‐cycle trends and risks.
• Produce monthly reports and detailed operational reports.
• Use data analytics to identify root causes of denials, underpayments, and delays.
• Recommend technology enhancements or staffing adjustments based on performance insights.
• Oversee hiring, onboarding, performance reviews, and professional development plans.
• Allocate resources effectively to manage peak billing cycles or special projects.
• Foster ongoing training on coding updates, payer policies, and system changes.
• Daily supervision of 10-15 associates.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager